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Nurses' effect on changing patient outcomes

D Brooten1, M D Naylor

  • 1University of Pennsylvania School of Nursing, Philadelphia 19104-6096, USA.

Image--The Journal of Nursing Scholarship
|January 1, 1995
PubMed
Summary
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This study examines how nurses impact patient outcomes. It explores measuring nursing interventions ("nurse dose") to improve healthcare results for diverse patient groups.

Area of Science:

  • Healthcare research
  • Nursing science
  • Patient outcomes analysis

Background:

  • Growing emphasis on provider effects on patient outcomes over recent decades.
  • Need to understand the specific contributions of nursing care to healthcare results.

Purpose of the Study:

  • To highlight the significant effect of nurses on patient outcomes.
  • To define measurable patient outcomes relevant to nursing interventions.
  • To explore the concept of "nurse dose" and its relationship to patient outcomes.

Main Methods:

  • Conceptual analysis of nursing interventions and patient outcomes.
  • Discussion of measurement strategies for nursing care and patient results.
  • Examination of environmental and patient-specific factors influencing nurse dose-outcome relationships.

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Main Results:

  • Identified key issues in measuring the impact of nursing care.
  • Proposed a framework for understanding "nurse dose" and its variability.
  • Highlighted the need for tailored approaches based on patient populations and healthcare settings.

Conclusions:

  • Nursing care is a critical determinant of patient outcomes.
  • Standardized measurement of nursing interventions is essential for quality improvement.
  • Further research is needed to optimize "nurse dose" for different patient groups and environments.